| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,689 |
1,684 |
$120K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
615 |
605 |
$46K |
| 92015 |
Determination of refractive state |
2,599 |
2,572 |
$32K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,172 |
2,144 |
$31K |
| 92341 |
|
195 |
193 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
41 |
40 |
$0.00 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
16 |
13 |
$0.00 |